Pregnancy after miscarriage: What you need to know?
Causes of spontaneous abortion |Chances of having miscarriage | Best time to get pregnant after a miscarriage | Wait to get pregnant | Special tests| chances of having a healthy pregnancy | Emotions | When to consult a specialist | Psychological aspects | Final Thoughts |
Do you think about pregnancy after miscarriage? You could be anxious or confused about the cause of your miscarriage and when to conceive again. Here we offer you help in understanding pregnancy after a miscarriage and the steps you can take to promote a healthy pregnancy.
What are the causes of spontaneous abortion?
Miscarriage is the usually spontaneous loss of a pregnancy before week 20. Most spontaneous abortions occur because the fetus does not develop as it should. About 50 percent of early pregnancy losses are due to problems in the baby’s chromosomes. Most of these chromosomal problems occur by chance while the embryo divides and grows, although it is more common for them to happen as women get older. Sometimes a condition, such as poorly controlled diabetes or a uterine problem, can cause a miscarriage. However, the cause of spontaneous abortion is often unknown.
About 8 to 20 percent of pregnancies end in spontaneous abortion. The total amount of this type of abortion is probably higher because many women spontaneously abort before knowing they are pregnant.
What are the chances of having another miscarriage?
Miscarriage is usually an episode that happens only once. Most women who have spontaneous abortions manage to have healthy pregnancies after the incident. A small amount, 1 percent, have repeated miscarriages.
The expected risk of spontaneous abortion in a future pregnancy remains almost 20 percent after a miscarriage. After two or more miscarriages, the risk of another miscarriage increases to approximately 28 percent, and after three or more miscarriages, the risk of another miscarriage is almost 43 percent.
What is the best time to get pregnant after a miscarriage?
Miscarriage can produce intense feelings of loss. You and your partner may also experience sadness, anxiety, or guilt. Do not rush the grieving process.
In general, doctors do not recommend to have intercourse for two weeks after a miscarriage to prevent infection. You can ovulate and get pregnant just two weeks after a miscarriage.
Once you feel emotionally and physically prepared for pregnancy after a miscarriage, ask your doctor to guide you. After a miscarriage, it is not necessary to wait to conceive. After two or more miscarriages, your doctor may recommend testing.
How long to wait to get pregnant after an abortion
Having a miscarriage does not preclude the woman from achieving pregnancy later, even if the woman has suffered several consecutive abortions for reasons that are unknown medically.
Most obstetricians recommend that women who have lost their baby wait at least three months before looking for pregnancy again. The body needs at least this time to recover from abortion. Yes, the loss of the embryo occurs in the second or third trimester of pregnancy; the doctor may advise more time for the body to recover.
Besides, women also need some time to recover emotionally and physically. In some cases, there is a loss of sexual appetite, and women do not feel like having sex at all.
Are special tests necessary before attempting pregnancy after a miscarriage?
If you experience frequent miscarriages, your healthcare provider may recommend that you have a test to identify any underlying cause before trying to get pregnant again. For example:
Doctors run blood tests to help detect hormone or immune system problems.
Both you and your partner could have a blood test to determine if your chromosomes are a determining factor. The tissue of spontaneous abortion, if available, could also be analyzed.
Also, physician-run procedures to detect uterine problems. For example:
This method utilizes high-frequency sound waves to produce accurate images of structures within the body. The health care provider places the ultrasound device on the abdomen or inside the vagina to obtain images of the uterus. An ultrasound may identify uterine problems, such as fibroids inside the uterine cavity.
Doctors insert a thin instrument called a hysteroscope through the cervix, into the uterus. It is to diagnose and treat identified intrauterine problems.
The gynecologist inserts a thin tube through the vagina and cervix to apply a liquid contrast medium to the uterus and fallopian tubes. The dye marks the shape of your uterine cavity and fallopian tubes and makes them visible on radiographic images. This procedure provides information on the internal contours of the uterus and any obstruction in the fallopian tubes.
The ultrasound procedure consists of injecting saline into the hollow part of the uterus through the cervix and vagina. This procedure provides data about the inside of the uterus and outer surface of the uterus. It also gives an insight of the obstruction in the fallopian tubes.
MRI (Magnetic resonance imaging):
This imaging test utilizes a magnetic field and radio waves to create detailed images of the uterus.
If the cause of your miscarriages is unidentifiable, do not lose hope. Most women who experience frequent miscarriages are likely to have healthy pregnancies.
Is there anything possible to improve the chances of having a healthy pregnancy?
Often, there is nothing you can do to prevent a miscarriage. However, choosing a healthy lifestyle is essential for you and your baby. Take a daily supplement of prenatal vitamins or folic acid; Ideally, you start a few months before conception. During pregnancy, avoid drinking alcohol, limit caffeine, smoking, and using illicit drugs.
If you have had a natural abortion or stillbirth, time must be time to grieve it. Loss of a baby during pregnancy or just after birth is like losing any loved one – Give yourself time to recover both emotionally and physically.
Other things that can help you cope with the loss and recover from such a hard experience are:
Attend a support group
Ask your doctor for information about local support groups for women who want to become pregnant again after having had a natural abortion.
Look for stories with a happy ending
It can be very encouraging to meet other women who, after a natural abortion, have had normal pregnancies and healthy babies. Maybe your doctor can give you the phone number of one of those mothers so they can talk.
Request frequent prenatal checkups
Even if yours is not a high-risk pregnancy when you get pregnant, ask the doctor to visit you more frequently to be calm.
Take an active role
The more you learn about the medical aspects of your pregnancy, the more prepared you will be to discuss with your doctor the different treatment options and the advantages and disadvantages of each of them.
Watch for baby movements
If your pregnancy is advanced enough — usually the “kicks” of the baby begin to be noticed between 18 and 22 weeks of gestation – keep a record of the degree of activity of the baby every morning and night and inform your doctor about any abnormality or lack of movement detected. If the baby does not move, eat, or drink something sugary and stretch on one side. You should notice at least ten movements in 2 hours. If not, call the doctor immediately.
Try not to compare
No two pregnancies are similar, so try not to look for similarities between this pregnancy and the one who ended up in abortion.
Keep track of the goal
You may have the feeling that you have been pregnant all your life, but it helps to keep in mind that soon the pregnancy will be a distant memory and that the outcome will be well worth it.
What emotions can you feel in subsequent pregnancies?
Once you get pregnant again after a miscarriage, you will probably feel cheerful and also anxious. While the next pregnancy can be a healing experience, anxiety and depression can continue even post-childbirth.
Discuss your feelings and allow yourself to experience them completely. Go to your partner, your family, and your friends so that you feel welcome. If you have trouble coping with the situation, consult your health care provider or an advisor for additional support.
Since most spontaneous abortions are not a sign of fertility problems, conception after spontaneous abortion generally does not pose physical challenges. However, a woman may feel restlessness, fear, and sadness when conceiving after a miscarriage.
Explain your emotions to your family, friends, and partner; This can help you feel more optimistic about your pregnancy. Visit your doctor regularly. Insist that you carefully monitor your pregnancy and stay healthy, for this exercise daily, eat well, control stress, maintain a healthy weight, take folic acid every day and avoid smoking and using potentially harmful drugs.
When to consult a specialist before trying to conceive again?
The doctor can refer you to the right specialist in maternal-fetal medicine, genetics, or reproductive endocrinology that can guide you have the best treatment to increase the chances of a healthy pregnancy.
You may consider looking for help if you:
- Over 35 years old
- Have had two or more miscarriages
- Having a disease that can affect your pregnancy (such as diabetes )
- You have experienced fertility problems
Pregnancy after miscarriage: what helps?
First of all, there must be a distinction between miscarriage (birth weight less than 500 grams) and stillbirth (birth weight more than 500 grams); also between an early abortion (up to the 12th semester), which accounts for 80% of miscarriages, and a late abortion (from the 12th semester).
Many women are torn after a miscarriage and during the new pregnancy.
How can anyone process the loss and still contribute to a successful pregnancy and birth at the same time?
Here we have listed below what is also essential in pregnancy after a miscarriage.
Like any other pregnancy, the pregnancy after a miscarriage has the same applications. The need for folic acid is more significant for you and the child than before when you want to have children. A lack of folic acid can be a cause of miscarriage, so you should make sure that you are always adequately supplied with folic acid.
Studies show that taking vitamins and minerals reduces the risk of miscarriage. In addition to folic acid, too little iodine and iron are good these days. It is, therefore, essential to eliminate the lack of vitamins and minerals with suitable nutritional supplements.
With relaxation exercises, meditation, or yoga, you can achieve the inner peace that helps you not to let your bad experiences get you out of balance. These exercises will help you switch off and build up new energy reserves that will carry you through your fears. Maybe a course in a group for birth preparation is helpful for you?
Just because something, it is not necessary to repeat this pattern. In the past, pregnancy was a link with “being good hope,” and this way of thinking is undoubtedly beneficial. After a miscarriage, you should try not only to be guided by fears but also by hopes.
Talk, talk, talk
For many women, talking to other sufferers, their partner, the doctor or the midwife is vital and helpful. It gives you an insight into external perspectives that can help to correct your own, sometimes narrowed gaze. Talking relieves some of the fears that determine thinking in connection with miscarriage and re-pregnancy.
Sometimes a lack of coronary hormones is the cause of a miscarriage. It is essential to get checked by the doctor to check for a possible luteal weakness before the next pregnancy. In this case, he can prescribe hormone preparations to increase the chances of a successful birth, so that the desire to have children is finally fulfilling.
Besides, the value of human chorionic gonadotropin (hCG) allows, to some extent, conclusions to be drawn about impending miscarriage if it is deficient or falls despite pregnancy.
Pregnant after miscarriage: psychological aspects
After losing a baby due to miscarriage and before becoming pregnant again, many women find it challenging to get involved freely. Understandable – it must and maybe mourned, and fears and worries about a new pregnancy cannot merely be sweep aside. You must take your time – as much as you need yourself. It can be weeks, months, or even years; no matter how long it takes, it’s okay! It is okay if the man in the boat is mourning and processing the miscarriage together as a couple. This emotional support is not only useful in such a situation, but it can also lead to this event bringing the couple together, and both of them regaining new confidence afterward.
With miscarriage, no matter what stage, grief is inevitable. But it is also natural and has its justification: The pregnancy ends abruptly, you are no longer “good hope,” but only infinitely sad. For such an experience, it is helpful for many to talk to someone – ideally, of course, with the partner. However, it may well be that he processes the loss of the baby differently and does not want to talk about it right now. It should be accepted, and then another conversation partner should be found, for example, a good friend. But there are also many mourning cafes or discussion groups, which are usually also open to mourners after miscarriages. It is essential that the partnership does not suffer from the miscarriage, but carries it together.
Many women experience guilt after a miscarriage – in most cases, downright wrong. As a rule, the cause of a miscarriage is a natural selection process of the body, without the woman being able to influence it. It is beneficial to be aware of this again and again – the same applies to the fact that no pregnancy can plan.
Before or during a new pregnancy, many women have one feeling above all: fear. Characterized by the miscarriage, they fear that the loss could repeat in the future pregnancy. Even the tiniest bleeding can cause significant worries, which is understandable from a psychological point of view.
The risk of miscarriages occurring three or more times in a row – a so-called “habitual abortion” – affects only one to two percent of all cases. However, facts often don’t take away fear, so it’s essential to talk about it, Otherwise, if you are pregnant again, there is a risk that you will not be able to enjoy this miracle.
And if the fear is in the background and only a quiet constant companion for the next pregnancy, this usually does not affect the course of the pregnancy. However, if irrational anxiety states occur, they should be treated, as the stress they cause could otherwise have a negative effect. In any case, you should try to see the topic “Pregnant after miscarriage” from its positive sides.
After a miscarriage, the decision to try another pregnancy can be difficult. It is natural to want to get pregnant again immediately after going through the pain of losing a baby. However, you should wait to try again until you are physically as well as emotionally prepared.
Pregnancy after miscarriage can be challenging, but with the right knowledge, anyone can deal with it successfully.